Patricia Helen Kanaby, CCMPT, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2810 Issued in CO

Practice address

1612 S 8TH St
Colorado Springs, CO 80906-1925

Phone

(719) 477-6870

Fax

(719) 477-1483

NPI assigned

Mar 23, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Patricia Helen Stafford Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Deserving Healing LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colorado Springs, CO
  • NPI 1821854332
  NPD (past)
• Great Moves Inc

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1669401238
  NPD (past)
• Strive Wellness PLLC

  dba Strive Wellness

  • Multi-Specialty Clinic/Center
  • Colorado Springs, CO
  • NPI 1134828890
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477670719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 S 8TH ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809061925",
            "telephone_number": "719-477-6870",
            "fax_number": "719-477-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 S 8TH ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809061925",
            "telephone_number": "719-477-6870",
            "fax_number": "719-477-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANABY",
        "first_name": "PATRICIA",
        "middle_name": "HELEN",
        "name_prefix": "Mrs.",
        "credential": "CCMPT, RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "2810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "STAFFORD",
            "middle_name": "HELEN",
            "prefix": "MRS.",
            "credential": "CMPT, RPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dorcas Wanjiku Kamere, APRN.FNP
• Candace Grace Kaminski
• Nathanael Kaminski
• Matthew Kaminsky, O.D.
• Amy Dean Kammerzell, NP-C
• Kandi Jean Marquardt Inc.
• Allison M. Kane, PT
• Arianne Kane
• Bryan Kane, LCSW
• Carson Jo Kane, PTA

• Physical Therapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.